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Although tubal disease was the original indication for IVF, many more indications have developed over the years. It is more successful in women who have previously been pregnant. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Sterility is classified into two groups, primary and secondary.

If too many embryos develop, one or more can be removed. Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum. Some physical effects may also result from treatment. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Ovulation disorders About one quarter of infertility cases are due to ovulation disorders.

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8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy.

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Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. In addition to a careful history, a physical evaluation may also be performed. ART techniques generally start with stimulating the ovaries to increase egg production.

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In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.  All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme. The test is rated positively when motile sperm can be proved in the mucus. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. An evaluation by a physician is the only way to sort it out. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH.